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Article
September 2, 1893

VENTRAL HERNIA FOLLOWING LAPAROTOMY—ITS CAUSE AND MEANS OF PREVENTION.

JAMA. 1893;XXI(10):329-330. doi:10.1001/jama.1893.02420620005001b

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Abstract

Although we live in the era which is denominated revolutionary in the science and art of surgery, he who proposes modifications to long-established rules should do so only after the most convincing evidence upon his part of their manifest advantage and importance. It is in this spirit that I ask the judicial consideration of my surgical friends to the following brief communication:

Laparotomy, from a great variety of causes, is now becoming so frequent that any method of improvement in its technique or results becomes of much greater importance than formerly. The attention of surgeons to the more essential factors of the operative procedures within the abdomen has very naturally caused the parietal wound to assume minor consideration and, as too often treated by even practiced surgeons, seems to be looked upon as a trivial matter. However, it is admitted that about 10 per cent, of all laparotomies result in

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